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1780952614
DEREK DENNIS DIAZ
GRAND JUNCTION, CO
NPI
1780952614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO 4748)
Enumeration Date
2011-12-06
Last Update Date
2020-05-11
Business Address
Mr. DEREK DENNIS DIAZ PA-C
2333 N 6TH ST
GRAND JUNCTION, CO 81501
Phone number: 970-298-1782
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Mailing Address
Mr. DEREK DENNIS DIAZ PA-C
2333 N 6TH ST
GRAND JUNCTION, CO 81501-2001
Phone number: 970-298-1782
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